<ui:composition xmlns="http://www.w3.org/1999/xhtml"
	xmlns:f="http://java.sun.com/jsf/core"
	xmlns:h="http://java.sun.com/jsf/html"
	xmlns:ui="http://java.sun.com/jsf/facelets">

	<h:form>
		<div class="row">
			<h2>Inscription</h2>
			<div class="small-12 medium-6 columns">
				<label>Nom</label> <input type="text" placeholder="Nom" /> <label>Prénom</label>
				<input type="text" placeholder="Prénom" /> <label class="display">Date
					de naissance</label> <input type="text" id="dateNaissanceInscription" /> <label>e-mail</label>
				<input type="text" placeholder="votre@email.com" /> <label>Téléphone</label>
				<input type="text" placeholder="Numéro de téléphone" /> <label
					class="display">Sexe</label> <select>
					<option value="homme">Homme</option>
					<option value="femme">Femme</option>
				</select> <label>Mot de passe</label> <input type="password"
					placeholder="Mot de passe" />
			</div>
			<div class="small-12 medium-6 columns">
				<h3>Adresse</h3>
				<div class="small-4">
					<label>Numéro</label> <input type="text" placeholder="n°" />
				</div>
				<label>Rue</label> <input type="text" placeholder="Rue" /> <label>Code
					Postal</label> <input type="text" placeholder="Code postal" /> <label>Ville</label>
				<input type="text" placeholder="Ville" /> <label class="display">Pays</label>
				<select>
					<option value="Belgique">Belgique</option>
					<option value="France" selected="selected">France</option>
					<option value="Luxembourg">Luxembourg</option>
				</select>
			</div>
		</div>

		<div class="row">
			<div class="small-12">
				<a href="#" class="button radius large success">M'inscrire</a>
			</div>
		</div>
	</h:form>

</ui:composition>